Thoracic Outlet Syndrome Thoracic Outlet Syndrome/Brachial Plexopathy. In Memory Of DeAnne Marie.


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Old 06-11-2011, 02:57 AM #1
chivers1977 chivers1977 is offline
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Default Tos?

These are my symptoms. I've had xrays which show long transverse process of C7, MRIs showed nothing and doppler ultrasound showed that the blood flow is slightly restricted on the RHS when I raise my arm. I've been off work since November when I flew from Edinburgh to London on a very bumpy flight. I have had physio, taping and acupuncture since then. I was allergic to cortisone so can't have that again. I am due to go back to my neurologist. I have already told him I think I have TOS. What do you reckon? I want to have surgery, I can't go on like this, my life is on hold and my parents are having to do all of my household chores for me.

Nov/ Dec
Intense pain back of neck and head
Neck in spasm and head stuck forward

Since then
Pain across from RHS neck to shoulder and down arm
Pain in chest – RHS
Pain in neck RHS
Difficulty breathing
Blue/ purple hands and feet
Funny little blisters on toes
veins in hands blue painful and raised
Ambulance to A&E due to breathing difficulties. Developed tetany/carpal spasm when BP cuff administered.
Painful blood vessel R arm

Now
Little finger R arm – pins and needles and pain and sticks out more to the side than usual
Blood vessels all raised R arm
Stabbing pain in outside R elbow
Pain on inside of R elbow
Pain on ulnar side of R wrist
Pain in right thumb
Tingling on R side of head/neck
Feeling that there is something in my throat
Feeling of pressure on R collar bone area
Pain in R collar bone area
Strange feeling on outside of L lower arm. Pain when mobilized by physio
Constant pain R shoulder
Dusky cold R hand and both feet
Fatigue after walking a v short distance – develop a limp
On waking in the morning I notice a buzzing feeling in the soles of both feet – almost feels like the sort of sensation you get when you have walked a long way and your feet are tired
If I bend over to pick something up, I feel dizzy and struggle to breathe and it takes a long time to recover from this feeling
Very tired all the time. Minimal activity exhausts me.

TIA
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Old 06-11-2011, 11:45 AM #2
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Jomar Jomar is offline
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You are the 3rd recent member with a long transverse process of C7..
here are the others - http://neurotalk.psychcentral.com/thread151595.html
http://neurotalk.psychcentral.com/thread151610.html

some of the same info should be helpful for you.

Often long term TOS can or will spread to feet or legs , but most likely due to myofascial pain if no other cause is found. Or it could be a spinal issue or another condition.
If you ever had a hit, fall or other jarring of the spine a expert evaluation by a chiropractor or advanced PT person, is a good thing, just to be sure all is in good alignment.

What brought your pain & symptoms on?
The Nov plane flight? or did you have problems before then?
Any desk/ computer work, car accident, sports?


[Feeling that there is something in my throat
Feeling of pressure on R collar bone area
Pain in R collar bone area]
these are exactly what I had during and after my severe spasms - for me it was my top rib, it had gotten pulled up from the spasms and had stayed stuck up like that even after my chiro had gotten rid of the spasms. It also crowds the collarbone /top rib area even more so symptoms are more limiting and arm fatigue sets in faster.

my suggestion - get the spasms resolved by an expert PT or DC and then have them drop/mobilize your top rib back into place.
It was amazing to me when the adv PT guy did this simple maneuver on my top ribs.
It may take more than one time for them to stay down, esp if your spams return.
If you are hyper mobile things can go out of place quite easily, so be aware of that.

Severe spasms will even seem like a heart attack feeling and affect the inter coastal rib muscles which affects the breathing.
scary feeling.. been there.

Has your PT done any manual trigger point work?
Are they focusing on pain& symptom reducing first?? - before any strengthening or resistance work?

other things
posture
blood work up for other causes - thyroid, diabetes etc
nutrition - maybe a good multi vitamin, MSM, Cal/Mag
fluids to keeps body lubricated
proper breathing form the diaphragm
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Old 06-11-2011, 12:45 PM #3
chivers1977 chivers1977 is offline
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Thank you Jo. I have been lurking for a while and have read all of the posts going back the last year or so!

Quote:
Originally Posted by Jo*mar View Post

Often long term TOS can or will spread to feet or legs , but most likely due to myofascial pain if no other cause is found. Or it could be a spinal issue or another condition.
If you ever had a hit, fall or other jarring of the spine a expert evaluation by a chiropractor or advanced PT person, is a good thing, just to be sure all is in good alignment.
I had whiplash in Dec 2007 but have been mobilized lots since then as also have lumbar disc joint degeneration - no pain at all from this at the moment
What brought your pain & symptoms on?
The Nov plane flight? or did you have problems before then?
Any desk/ computer work, car accident, sports?
The day after the flight I suddenly had neck spasm but nothing really to explain why. I work on the computer all day and used to play volleyball to a senior level. I have a long neck. Car accident Dec 2007 but physio after this sorted the neck mostly but did have twinges at times from then on

[Feeling that there is something in my throat
Feeling of pressure on R collar bone area
Pain in R collar bone area]
these are exactly what I had during and after my severe spasms - for me it was my top rib, it had gotten pulled up from the spasms and had stayed stuck up like that even after my chiro had gotten rid of the spasms. It also crowds the collarbone /top rib area even more so symptoms are more limiting and arm fatigue sets in faster.

my suggestion - get the spasms resolved by an expert PT or DC and then have them drop/mobilize your top rib back into place.
It was amazing to me when the adv PT guy did this simple maneuver on my top ribs.
It may take more than one time for them to stay down, esp if your spams return.
Unfortunatley we have tried this lots. It causes huge pain and then leaves me in bed for the rest of the day. Will feel better tomorrow but then will be bad in another couple of days.
If you are hyper mobile things can go out of place quite easily, so be aware of that.I am mildly hypermobile - knees straighten completely

Severe spasms will even seem like a heart attack feeling and affect the inter coastal rib muscles which affects the breathing.
scary feeling.. been there.

Has your PT done any manual trigger point work?
Are they focusing on pain& symptom reducing first?? - before any strengthening or resistance work?
He isn't even trying to strengthen as the spasms are too significant even 7 months on. He mobilses my arm for the ulnar pain and lots of neck/1st rib/transverse process I asked him today what the bit was that hurting the most when he was mobilzing - it was both the 1st rib and the c7 transverse process - OMG the pain
other things
posture Trying but R shoulder is rolled in due to pec minor
blood work up for other causes - thyroid, diabetes etc - Will try this thanks
nutrition - maybe a good multi vitamin, MSM, Cal/Mag
fluids to keeps body lubricated
proper breathing form the diaphragmPhysios wife is a respiratory physio so has also forced me into this
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